Permit o CITY OF TIGARD BUILDING PERMIT
'`1 COMMUNITY DEVELOPMENT Permit#: BUP2015 00120
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2015
Parcel: 2S103DD01100
Jurisdiction: Tigard
Site address: 13939 SW PACIFIC HWY
Project: Walgreens Subdivision: MELROSE Lot: 7-8
Project Description: Relocating existing freestanding sign due to road widening project.
Contractor: RUDNICK ELECTRIC SIGNS LLC Owner: WALGREEN CO#5780
1625 WASHINGTON ST PO BOX 901
OREGON CITY,OR 97045 DEERFIELD, IL 60015
PHONE: 503-655-2610 PHONE:
FAX: 503-980-7919
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 04/27/2015 $119.33
ype of Const: Demolition
Occupancy Grp: U Occupancy Load: 12%State Surcharge-Building 04/27/2015 $14.32
Dwelling Units: 0 Plan Review 04/27/2015 $77.56
Stories: 0 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 04/27/2015 $4.50
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $2,200
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $215.71
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
03. .4175
Call 4175 by 7:00 a.m.for the next available ins ction date.
This permit card shall be kept in a conspicuous place on the job site of it compl ' of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial FOR OFFICE USE ONLY
City of Tigard ECE�VED ReceivedC 0,,,,),,,, ��,7 g DateBy:e Permit No.: +• 13125 SW Hall Blvd.,Tigard,OR 97223 R Plan Revi Phone: 503.639.4171 Fax: 503.598.196f1 DateBy: Other Permir. �t j-T 1 G A R I� Inspection Line: 503.639.4175 A pp p 7 215 Date Ready lads See Page 2 for
Internet: www.tigard-or.gov Hr R fl Notified/Method: y30 is` It Supplemental Information
TY TYPE OF VV QI'
TIGARD fir t ,'Z.-.t k•,., /� ..4,47
ILDING DIVISION REQUIRED DATA:1-AND 2-FAIIIILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
Valuation: $
❑ I-and 2-family dwelling ®Conunercial/industrial
1:1 Accessory building El Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:13939 SW Pacific HWY New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:WALGREENS-LED EMS PYLON Covered porch area: square feet
Cross street/directions to job site:Nearest cross street SW GAARDE ST(south Deck area: square feet
of WALGREENS driveway Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Re-installation of LED EMS pylon Valuation: $ at a00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:
Name:WALGREENS#5780 Type of construction:
Address:13939 SW Pacific HWY Occupancy groups:
City/State/ZIP:Tigard,OR 97223 Existing:
Phone:(503) Fax:(503) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name:RI DNICK ELECTRIC SIGNS,LLC All contractors and subcontractors are required to be
Contact name:Steve Rudnick licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:1625 Washington St jurisdiction in which work is being performed.If the
City/State/ZIP:Oregon City,OR 97045 applicant is exempt from licensing,the following reasons
apply:
Phone:(503)655-2610 Fax::(503)980-7919
E-mail:steve@rudnickelectricsigns.com
CONTRACTOR
Business name:RUDNICK ELECTRIC SIGNS,LLC BUILDING PERMIT FEES*
Address:1625 Washington St (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:Oregon City,OR 97045
Phone:(503)655-2610 Fax:(503)980-7919 FLS plan review fee(if applicable):
CCB lic.:186588 Total fees due upon application: /,j..r 71
i.. — /� . Amount received:
• Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Steven Rudnick Date:04/08/2015 * Fee methodology set by Tri-County Building Industry
Service Board. `l g
I:\Building\Permits\BUP-COM PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB) +I I 'C)4)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13939 SW PACIFIC HWY, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2015-00120
Jeff Grove
Violation Summary:
Inspector Contractor